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Utah rates for HCPCS B4220

Parenteral Nutrition Supply Kit; Premix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $9.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $16.66 / $17.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $9.92 / $14.28